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Nanotechnology in Stroke: New Trails with Smaller Scales
Karlo Toljan1, Anushruti Ashok2, Vinod Labhasetwar2
1Department of Neurology, Neurological Institute, Cleveland Clinic, Cleveland, OH 44195, USA.
Biomedicines
|March 29, 2023
Summary
Nanoparticle-based therapies offer a promising avenue for stroke treatment, potentially overcoming limitations of current thrombolytic agents like tissue plasminogen activator (tPA). These advanced approaches aim for safer, extended therapeutic windows and multifunctional treatment strategies for cerebrovascular conditions.
Area of Science:
- Biomedical Engineering
- Nanotechnology
- Neurology
Background:
- Stroke is a major cause of death and disability, necessitating improved therapeutic interventions.
- Current treatments like tissue plasminogen activator (tPA) and endovascular thrombectomy (EVT) have limitations including narrow time windows and risks of hemorrhage.
- Ischemia-reperfusion injury and blood-brain barrier disruption are significant challenges following acute stroke treatment.
Purpose of the Study:
- To review advances in nanoparticle-based approaches for treating cerebrovascular conditions.
- To highlight the potential of nanoparticles as multifunctional thrombolytic agents.
- To explore the development of theranostic agents for improved stroke patient outcomes.
Main Methods:
- Review of current literature on nanoparticle applications in stroke therapy.
- Analysis of nanoparticle properties for targeted drug delivery and multifunctional capabilities.
- Exploration of theranostic nanoparticle designs combining therapeutic and diagnostic functions.
Main Results:
- Nanoparticles offer potential for thrombolytic agents with extended therapeutic windows and reduced side effects compared to tPA.
- Multifunctional nanoparticles can deliver thrombolytics along with neuroprotective, anti-inflammatory, or antioxidant agents.
- Theranostic nanoparticles integrating imaging capabilities alongside therapeutics are under development for enhanced stroke management.
Conclusions:
- Nanoparticle-based strategies represent a significant advancement in stroke treatment, addressing limitations of existing therapies.
- The development of multifunctional and theranostic nanoparticles holds great promise for improving clinical outcomes in stroke patients.
- Further research into nanoparticle delivery systems and safety profiles is crucial for clinical translation.

